Pain Management

An estimated 50 million Americans are partially or totally disabled due to chronic pain. This makes pain the single most common symptom for which individuals seek medical help. Acute pain can easily evolve into chronic pain. Chronic neuropathic pain is often the result of multiple unknown sources, which share a common pathway of how pain is perceived and registered.

There are many mass-produced oral pain relief medications on the market. Opioids, also known as narcotics, are a common treatment option for chronic pain. However, due to their dosage strength, dosage format or other factors, they can lead to unwanted side effects such as drowsiness, dizziness, stomach irritation, gastritis, ulcers, and addiction. Additionally, many people have difficulty swallowing pills or tablets, presenting further obstacles to pain treatment.

Compoundia Pharmacy works with patients and physicians to compound specialized medications for pain that are applied topically. Using high quality ingredients, Compoundia’s topical pain creams are applied directly to the affected area and/or the appropriate dermatome to block pain at the nerve source.

Compoundia Pharmacy specializes in offering custom compounded transdermal pain creams. Transdermal Therapy is the absorption of medication through the skin and provides a unique alternative to traditional methods of drug delivery and pain management. We can compound pain cream medications for patients with both acute and chronic pain including:

Neuropathic Pain:

  • Diabetic Peripheral Neuropathy
  • Neuroma Pain
  • Post-herpetic Neuralgia
  • Chemotherapy induced Neuropathy
  • Phantom Limb Pain
  • Trigeminal Neuropathy
  • Post-surgical neuropathy
  • Thoracic outlet syndrome, etc.

Peripheral Pain:

  • Fibromyalgia
  • Osteoarthritis
  • TMJ Syndrome
  • Degenerative Joint Disease
  • Rheumatoid Arthritis
  • Chronic Post-Operative Pain
  • Plantar Fasciitis
  • Acute & Chronic Tendon/Ligament Injuries
  • Myofascial Pain Syndrome
  • Lateral & Medial Epicondylitis
  • Tension & Occipital Neuralgia Headache

Spinal Pain:

  • · Failed Back Syndrome/Neck Surgery Syndrome
  • · Spinal Stenosis
  • · Degenerative Disc Disease
  • · Herniated/Bulging Discs


Pain creams are compounded with bases that have been proven effective in facilitating percutaneous absorption of topical pain medications. Pain cream ingredients include customized combinations of the following medications:

Non-steroidal Anti-inflammatories (NSAIDS):Ketoprofen, Diclofenac Sodium, Meloxicam, Ibuprofen

Muscle Relaxants: Cyclobenzaprine, Baclofen, Guaifenasin

Anesthetics: Lidocaine, Tetracaine, Bupivacaine, Prilocaine

Vasodilators: Nifedipine, Verapamil

Pain Blockers: Ketamine

Nerve Agents: Amitriptyline, Gabapentin

Other Pain Medications: Menthol, Capsaicin, Clonidine

These compounded pain management medications are available by prescription only. Please discuss it with your physician, or contact us with your physician’s name and contact information, and we can supply him or her with information. Compoundia Pharmacy will work with your physician to design a pain management compound to fit your specific needs.


Swidan, Sahar Z. PharmD; Mohamed, Hagar A. MS, Use of Topical Pain Medications in the Treatment of Various Pain Syndromes. Topics in Pain Management: February 2016 – Volume 31 – Issue 7 – p 1–8.

Drummond, E. S., Maker, G. , Birklein, F. (2016), Topical prazosin attenuates sensitivity to tactile stimuli in patients with complex regional pain syndrome. Eur J Pain, 20: 926-935. doi:10.1002/ejp.817

Finch, P. M., Drummond, P. D. Novel Anti-inflammatory Gel for Transdermal Delivery. Int J Pharm. 2015 Feb 1;479(1):207-11..